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Intangible Assets, Net (Tables) | 12 Months Ended
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Dec. 31, 2019
Goodwill and Intangible Assets Disclosure [Abstract] |
Schedule of Indefinite-Lived Intangible Assets, Net | At December 31, 2019, intangible assets, net consisted of the following:
| Useful Life (Years) |  | Gross January 1, 2019 |  | Additions |  | Impairment/ Disposal |  | Gross December 31, 2019 |  | Accumulated Amortization |  | Net December 31, 2019
Indefinite Lived Assets: |  |  |  |  |  |  |  |  |  |  |  |  |
Medicare license | N/A |  | $ | 1,994,000 |  |  | $ | — |  |  | $ | (1,994,000 | ) |  | $ | — |  |  | $ | — |  |  | $ | — |
Amortized Intangible Assets: |  |  |  |  |  |  |  |  |  |  |  |  |
Network relationships | 11-15 |  | 109,883,000 |  |  | 34,047,000 |  |  | — |  |  | 143,930,000 |  |  | (60,524,996 | ) |  | 83,405,004 |
Management contracts | 15 |  | 22,832,000 |  |  | — |  |  | — |  |  | 22,832,000 |  |  | (9,676,381 | ) |  | 13,155,619 |
Member relationships | 12 |  | 6,696,000 |  |  | — |  |  | — |  |  | 6,696,000 |  |  | (2,352,133 | ) |  | 4,343,867 |
Patient management platform | 5 |  | 2,060,000 |  |  | — |  |  | — |  |  | 2,060,000 |  |  | (858,329 | ) |  | 1,201,671 |
Tradename/trademarks | 20 |  | 1,011,000 |  |  | — |  |  | — |  |  | 1,011,000 |  |  | (105,312 | ) |  | 905,688 |
|  |  | $ | 144,476,000 |  |  | $ | 34,047,000 |  |  | $ | (1,994,000 | ) |  | $ | 176,529,000 |  |  | $ | (73,517,151 | ) |  | $ | 103,011,849 |
At December 31, 2018, intangible assets, net consisted of the following:
| Useful Life (Years) |  | Gross January 1, 2018 |  | Additions |  | Impairment/ Disposal |  | Gross December 31, 2018 |  | Accumulated Amortization |  | Net December 31, 2018
Indefinite Lived Assets: |  |  |  |  |  |  |  |  |  |  |  |  |
Medicare license | N/A |  | $ | 1,994,000 |  |  | $ | — |  |  | $ | — |  |  | $ | 1,994,000 |  |  | $ | — |  |  | $ | 1,994,000 |
Amortized Intangible Assets: |  |  |  |  |  |  |  |  |  |  |  |  |
Network relationships | 11-15 |  | 109,883,000 |  |  | — |  |  | — |  |  | 109,883,000 |  |  | (48,361,773 | ) |  | 61,521,227 |
Management contracts | 15 |  | 22,832,000 |  |  | — |  |  | — |  |  | 22,832,000 |  |  | (7,447,581 | ) |  | 15,384,419 |
Member relationships | 12 |  | 6,696,000 |  |  | — |  |  | — |  |  | 6,696,000 |  |  | (1,289,667 | ) |  | 5,406,333 |
Patient management platform | 5 |  | 2,060,000 |  |  | — |  |  | — |  |  | 2,060,000 |  |  | (446,333 | ) |  | 1,613,667 |
Tradename/trademarks | 20 |  | 1,011,000 |  |  | — |  |  | — |  |  | 1,011,000 |  |  | (54,763 | ) |  | 956,237 |
|  |  | $ | 144,476,000 |  |  | $ | — |  |  | $ | — |  |  | $ | 144,476,000 |  |  | $ | (57,600,117 | ) |  | $ | 86,875,883 |
Schedule of Finite-Lived Intangible Assets, Net | At December 31, 2019, intangible assets, net consisted of the following:
| Useful Life (Years) |  | Gross January 1, 2019 |  | Additions |  | Impairment/ Disposal |  | Gross December 31, 2019 |  | Accumulated Amortization |  | Net December 31, 2019
Indefinite Lived Assets: |  |  |  |  |  |  |  |  |  |  |  |  |
Medicare license | N/A |  | $ | 1,994,000 |  |  | $ | — |  |  | $ | (1,994,000 | ) |  | $ | — |  |  | $ | — |  |  | $ | — |
Amortized Intangible Assets: |  |  |  |  |  |  |  |  |  |  |  |  |
Network relationships | 11-15 |  | 109,883,000 |  |  | 34,047,000 |  |  | — |  |  | 143,930,000 |  |  | (60,524,996 | ) |  | 83,405,004 |
Management contracts | 15 |  | 22,832,000 |  |  | — |  |  | — |  |  | 22,832,000 |  |  | (9,676,381 | ) |  | 13,155,619 |
Member relationships | 12 |  | 6,696,000 |  |  | — |  |  | — |  |  | 6,696,000 |  |  | (2,352,133 | ) |  | 4,343,867 |
Patient management platform | 5 |  | 2,060,000 |  |  | — |  |  | — |  |  | 2,060,000 |  |  | (858,329 | ) |  | 1,201,671 |
Tradename/trademarks | 20 |  | 1,011,000 |  |  | — |  |  | — |  |  | 1,011,000 |  |  | (105,312 | ) |  | 905,688 |
|  |  | $ | 144,476,000 |  |  | $ | 34,047,000 |  |  | $ | (1,994,000 | ) |  | $ | 176,529,000 |  |  | $ | (73,517,151 | ) |  | $ | 103,011,849 |
At December 31, 2018, intangible assets, net consisted of the following:
| Useful Life (Years) |  | Gross January 1, 2018 |  | Additions |  | Impairment/ Disposal |  | Gross December 31, 2018 |  | Accumulated Amortization |  | Net December 31, 2018
Indefinite Lived Assets: |  |  |  |  |  |  |  |  |  |  |  |  |
Medicare license | N/A |  | $ | 1,994,000 |  |  | $ | — |  |  | $ | — |  |  | $ | 1,994,000 |  |  | $ | — |  |  | $ | 1,994,000 |
Amortized Intangible Assets: |  |  |  |  |  |  |  |  |  |  |  |  |
Network relationships | 11-15 |  | 109,883,000 |  |  | — |  |  | — |  |  | 109,883,000 |  |  | (48,361,773 | ) |  | 61,521,227 |
Management contracts | 15 |  | 22,832,000 |  |  | — |  |  | — |  |  | 22,832,000 |  |  | (7,447,581 | ) |  | 15,384,419 |
Member relationships | 12 |  | 6,696,000 |  |  | — |  |  | — |  |  | 6,696,000 |  |  | (1,289,667 | ) |  | 5,406,333 |
Patient management platform | 5 |  | 2,060,000 |  |  | — |  |  | — |  |  | 2,060,000 |  |  | (446,333 | ) |  | 1,613,667 |
Tradename/trademarks | 20 |  | 1,011,000 |  |  | — |  |  | — |  |  | 1,011,000 |  |  | (54,763 | ) |  | 956,237 |
|  |  | $ | 144,476,000 |  |  | $ | — |  |  | $ | — |  |  | $ | 144,476,000 |  |  | $ | (57,600,117 | ) |  | $ | 86,875,883 |
Schedule of Future Amortization Expense | Future amortization expense is estimated to be as follows for the years ending December 31:
| Amount
2020 | $ | 16,026,000 |
2021 | 14,542,000 |
2022 | 12,673,000 |
2023 | 10,842,000 |
2024 | 9,830,000 |
Thereafter | 39,099,000 |
| $ | 103,012,000 |

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